Provider Demographics
NPI:1780961847
Name:WILLI, CHRISTINE LEIGH (ND)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LEIGH
Last Name:WILLI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20270 FRONT ST NE
Mailing Address - Street 2:#202
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7356
Mailing Address - Country:US
Mailing Address - Phone:360-598-6999
Mailing Address - Fax:
Practice Address - Street 1:20270 FRONT ST NE
Practice Address - Street 2:# 202
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7356
Practice Address - Country:US
Practice Address - Phone:360-598-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60255114175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath